Individual
MR. DOUGLAS EDWARD-MAXWELL FENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2104 E ANDERSON LN APT 524, AUSTIN, TX 78752-1922
(866) 919-3240
Mailing address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
(877) 300-7394
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
124775
TX
Other
Enumeration date
02/14/2022
Last updated
07/24/2024
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